Failure of long-term nerve root stimulation to improve neuropathic pain

Weigel, Ralf; Capelle, Hans‐Holger; Krauss, Joachim K.

doi:10.3171/jns/2008/108/5/0921

Cited by 17 publications

(14 citation statements)

References 17 publications

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“…The spinal nerve root stimulation method used in this study is expected to be useful for selective spinal cord stimulation in cases with failure to acquire stable stimulation paresthesia by dorsal cord stimulation. In the present study, spinal nerve root stimulation could produce simulation paresthesia with a lower electrical potential of dorsal column stimulation (15,16). However, as spinal nerve root stimulation usually involves motor as well as sensory nerves, side effects such as vibration or tremors interfere with the analgesic effect.…”

Section: Discussionmentioning

confidence: 65%

The Effects of Temporary Spinal Cord Stimulation (or Spinal Nerve Root Stimulation) on the Management of Early Postherpetic Neuralgia from One to Six Months of Its Onset

Yanamoto

Murakawa

2012

Neuromodulation: Technology at the Neural Interface

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Section: Discussionmentioning

confidence: 65%

The Effects of Temporary Spinal Cord Stimulation (or Spinal Nerve Root Stimulation) on the Management of Early Postherpetic Neuralgia from One to Six Months of Its Onset

Yanamoto

Murakawa

2012

Neuromodulation: Technology at the Neural Interface

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“…It is also not surprising to find that these results manifest themselves over longer time periods as well. Clinically, the results from nerve root stimulation were very different than those published for dorsal root ganglion stimulation (11,31,32). Specifically, Levine and colleagues demonstrated no difference between nerve root stimulation and SCS when treating neuropathic pain (31).…”

Section: Discussionmentioning

confidence: 99%

Safety Analysis of Dorsal Root Ganglion Stimulation in the Treatment of Chronic Pain

Deer

Pope

Hunter

et al. 2020

Neuromodulation: Technology at the Neural Interface

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Background Stimulation of the dorsal root ganglion (DRG) in the treatment of chronic, intractable pain has shown excellent clinical results in multiple published studies, including a large prospective, randomized, controlled trial. Both safety and efficacy have been demonstrated utilizing this therapeutic approach for many chronic complaints. Continued assessment of neuromodulation therapies, such as DRG stimulation, are not only an important aspect of vigilant care, but are also necessary for the evaluation for safety. Materials and Methods Safety and complaint records for DRG and spinal cord stimulation (SCS) stimulation were obtained from the manufacturer, analyzed and compiled to further assess ongoing device safety. Complaint event data were stratified according to complain type as well as overall rates. Data from similar time periods were compared between epidural neurostimulation devices by the same manufacturer as well as rates reported in the literature. Results Overall, DRG stimulation device event rates were lower or comparable to similar epidurally placed neurostimulation devices. Rates of events varied from 0 to 1.0% for DRG stimulation (n >500+ implants) which was similar to the event rate for SCS by the same manufacturer (n >2000+ implants). In comparison, complaints and adverse events ranged from 0 to 14% for SCS in the literature. Discussions The current results from a large consecutive cohort obtained from manufacturer records indicates that DRG stimulation demonstrates an excellent safety profile. Reported event rates are similar to previously reported adverse event and complaint rates in the literature for this therapy. Similarly, safety events rates were lower or similar to previously reported rates for SCS, further demonstrating the comparative safety of this neuromodulation technique for chronic pain treatment.

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“…The electrodes were positioned on the dorsal root ganglion in a previous study, via a foraminotomy or an interlaminar fenestration, in an awake procedure. Once an initial satisfactory stimulation result had been achieved the effect then diminished over the next months . In a multicentric study 29 patients diagnosed with neuropathic pain in the groin were examined.…”

Section: Discussionmentioning

confidence: 99%

Dorsal Root Ganglion Stimulation Used for the Treatment of Chronic Neuropathic Pain in the Groin: A Single-Center Study With Long-Term Prospective Results in 34 Cases

Morgalla

Bolat

Fortunato

et al. 2017

Neuromodulation: Technology at the Neural Interface

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Failure of long-term nerve root stimulation to improve neuropathic pain

Abstract: Spinal nerve root stimulation proved to be effective on short-term follow-up in 3 patients with neuropathic pain in a dermatomal distribution. Long-term stimulation, however, was disappointing because of the loss of effectiveness and the occurrence of side effects.

Cited by 17 publications

References 17 publications

The Effects of Temporary Spinal Cord Stimulation (or Spinal Nerve Root Stimulation) on the Management of Early Postherpetic Neuralgia from One to Six Months of Its Onset

The Effects of Temporary Spinal Cord Stimulation (or Spinal Nerve Root Stimulation) on the Management of Early Postherpetic Neuralgia from One to Six Months of Its Onset

Safety Analysis of Dorsal Root Ganglion Stimulation in the Treatment of Chronic Pain

Dorsal Root Ganglion Stimulation Used for the Treatment of Chronic Neuropathic Pain in the Groin: A Single-Center Study With Long-Term Prospective Results in 34 Cases

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